Office obstetrics:
Gespeichert in:
| Weitere Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2008
|
| Schriftenreihe: | Obstetrics and gynecology clinics of North America
35,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV S., S. 339 - 517 Ill., graph. Darst. |
| ISBN: | 1416063269 9781416063261 |
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| 245 | 1 | 0 | |a Office obstetrics |c guest ed. Sharon T. Phelan |
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| 490 | 1 | |a Obstetrics and gynecology clinics of North America |v 35,3 | |
| 650 | 4 | |a Cesarean Section | |
| 650 | 4 | |a Depression |x in pregnancy | |
| 650 | 4 | |a Genetic Screening | |
| 650 | 4 | |a Hyperemesis Gravidarum | |
| 650 | 4 | |a Obstetrics | |
| 650 | 4 | |a Obstetrics |x methods | |
| 650 | 4 | |a Parturition |x methods | |
| 650 | 4 | |a Pregnancy Complications | |
| 650 | 4 | |a Prenatal Care | |
| 650 | 4 | |a Prenatal Diagnosis | |
| 650 | 4 | |a Prenatal Nutrition Physiology | |
| 700 | 1 | |a Phelan, Sharon T. |4 edt | |
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| adam_text | OFFICE OBSTETRICS
CONTENTS
Foreword xi
William F. Rayburn
Preface xiii
Sharon T. Phelan
Components and Timing of Prenatal Care 339
Sharon T. Phelan
The primary objective for prenatal care has not changed in the past
100 years: to have the pregnancy end with a healthy baby and
mother. By identifying risk factors for pregnancy complications or
other maternal health concerns that need to be addressed, the
provider hopes to optimize pregnancy outcome. By using a series
of screening and diagnostic tests, as well as serially trending certain
components of the physical examination, the provider monitors the
ongoing health of the pregnancy. As the ability to screen and
intervene has improved over the last century, the issues to be
assessed have expanded to include not only medical aspects of care
but also barriers to access, psychologic considerations, and patient
education about general health, pregnancy, and childbirth.
The Prenatal Medical Record: Purpose, Organization
and the Debate of Print Versus Electronic 355
Sharon T. Phelan
The obstetric prenatal record is one of the best, most organized
medical record systems currently used in the United States. This
has allowed a standardization of care and documentation that has
benefited pregnant women over the past two decades. The
transition to an electronic record must maintain these advances
and, hopefully, strengthen them with the use of electronic prompts,
seamless transfer of information, and universal accessibility to the
records, regardless of the location of care.
VOLUME 35 • NUMBER 3 • SEPTEMBER 2008 vii
Nutrition During Pregnancy 369
Jean T. Cox and Sharon T. Phelan
Nutritional concerns in pregnancy are gaining increasing impor¬
tance as problems with obesity, poor nutrition, and improper
weight gain during pregnancy have been shown to result in
morbidity for mother and infant during the pregnancy. More recent
studies show that the impact of poor nutrition in pregnancy
extends for decades to follow for the mother and the offspring.
Clearly, prevention of problems is the best approach. This article
discusses aspects of, and controversies concerning, prenatal weight
gain and specific nutrients, and special patient groups who may
benefit from intervention by a registered dietitian.
Promoting Healthy Habits in Pregnancy 385
William F. Rayburn and Sharon T. Phelan
Most women have an appreciation of what are generally
considered healthy habits including more exercise; eating a healthy
diet; avoiding cigarettes, alcohol, and drugs; using seatbelts; and
being current on preventive care, such as good dental status. Being
pregnant can be a strong motivator to change or modify behavioral
choices. This is an optimal time for a provider to build on this
potential motivator to effect change. Frequent follow-up visits
allow re-enforcement of attempted change. This constant encour¬
agement and support helps to impress on the woman and her
family the importance of change.
Hyperemesis Gravidarum 401
T. Murphy Goodwin
Hyperemesis gravidarum occurs in 0.3% to 2% of pregnant
women, although populations with significantly higher rates
have been reported. In clinical practice, hyperemesis gravidarum
is identified by otherwise unexplained intractable vomiting and
dehydration. This article discusses the causes, presentation,
diagnosis, and management of hyperemesis gravidarum.
Perinatal Depression 419
Emily C. Dossett
Despite the fact that childbirth is often a time of joy for a family, the
occurrence of perinatal depression is very common. It is essential
for the depressed patient to be identified and treated during the
pregnancy or postpartum because the failure to treat can have
significant morbidity and even mortality for the woman and the
child. Despite various concerns several antidepressant medications
are generally safe and, after a careful risk/benefit analysis and
informed consent, indicated for the severely depressed pregnant or
lactating patient.
yjij CONTENTS
Prenatal Diagnosis and Genetic Screening—Integration
into Prenatal Care 435
Valerie J. Rappaport
In the last 3 decades, perinatal medicine has made tremendous
advances in scientific knowledge and in the successful application
of this knowledge toward understanding the fetal aspects of
pregnancy. Evaluation of the health of the fetus and screening for
birth defects has become an important part of prenatal care. This
article provides an overview of birth defects and the various
screening methods for diagnosing birth defects before birth. It also
discusses the role of preconception genetic screening.
Recurrent Risk of Adverse Pregnancy Outcome 459
Lisa E. Moore
It is an unfortunate fact that all pregnancies do not end with
healthy babies and healthy mothers. Families who have experi¬
enced an adverse pregnancy outcome require accurate information
about the risk of recurrence to plan future childbearing. This article
examines the recurrence risk of four complications of pregnancy:
gestational diabetes, preterm delivery, stillbirth, and preeclampsia.
Combined, these four complications are responsible for approx¬
imately 24% of maternal and neonatal morbidity and mortality.
Prenatal Counseling Regarding Cesarean Delivery 473
Lawrence M. Leeman
In 1970, the cesarean delivery rate in the United States was 5.5% and
women receiving prenatal care only required the knowledge that
cesarean delivery was an uncommon solution to dire obstetric
emergencies. In 2008, when almost one in three women deliver by
cesarean, counseling on cesarean delivery must be part of each
woman s prenatal care. The content of that discussion varies based on
the woman s obstetric history and the anticipated mode of delivery.
Childbirth Education and Birth Plans 497
Joanne Motino Bailey, Patricia Crane, and Clark E. Nugent
Childbirth education is considered a key component to prenatal
care, although many women do not receive any formalized
preparation. There are multiple models of childbirth education
for both within health care settings, including Centering Preg¬
nancy, and external programs, such as Lamaze and Bradley. As a
component of childbirth preparation, a birth plan can be a medium
to improve patient-provider communication regarding a desired
labor and birth experience and improve satisfaction with care.
Index 511
CONTENTS «
|
| adam_txt |
OFFICE OBSTETRICS
CONTENTS
Foreword xi
William F. Rayburn
Preface xiii
Sharon T. Phelan
Components and Timing of Prenatal Care 339
Sharon T. Phelan
The primary objective for prenatal care has not changed in the past
100 years: to have the pregnancy end with a healthy baby and
mother. By identifying risk factors for pregnancy complications or
other maternal health concerns that need to be addressed, the
provider hopes to optimize pregnancy outcome. By using a series
of screening and diagnostic tests, as well as serially trending certain
components of the physical examination, the provider monitors the
ongoing "health" of the pregnancy. As the ability to screen and
intervene has improved over the last century, the issues to be
assessed have expanded to include not only medical aspects of care
but also barriers to access, psychologic considerations, and patient
education about general health, pregnancy, and childbirth.
The Prenatal Medical Record: Purpose, Organization
and the Debate of Print Versus Electronic 355
Sharon T. Phelan
The obstetric prenatal record is one of the best, most organized
medical record systems currently used in the United States. This
has allowed a standardization of care and documentation that has
benefited pregnant women over the past two decades. The
transition to an electronic record must maintain these advances
and, hopefully, strengthen them with the use of electronic prompts,
seamless transfer of information, and universal accessibility to the
records, regardless of the location of care.
VOLUME 35 • NUMBER 3 • SEPTEMBER 2008 vii
Nutrition During Pregnancy 369
Jean T. Cox and Sharon T. Phelan
Nutritional concerns in pregnancy are gaining increasing impor¬
tance as problems with obesity, poor nutrition, and improper
weight gain during pregnancy have been shown to result in
morbidity for mother and infant during the pregnancy. More recent
studies show that the impact of poor nutrition in pregnancy
extends for decades to follow for the mother and the offspring.
Clearly, prevention of problems is the best approach. This article
discusses aspects of, and controversies concerning, prenatal weight
gain and specific nutrients, and special patient groups who may
benefit from intervention by a registered dietitian.
Promoting Healthy Habits in Pregnancy 385
William F. Rayburn and Sharon T. Phelan
Most women have an appreciation of what are generally
considered healthy habits including more exercise; eating a healthy
diet; avoiding cigarettes, alcohol, and drugs; using seatbelts; and
being current on preventive care, such as good dental status. Being
pregnant can be a strong motivator to change or modify behavioral
choices. This is an optimal time for a provider to build on this
potential motivator to effect change. Frequent follow-up visits
allow re-enforcement of attempted change. This constant encour¬
agement and support helps to impress on the woman and her
family the importance of change.
Hyperemesis Gravidarum 401
T. Murphy Goodwin
Hyperemesis gravidarum occurs in 0.3% to 2% of pregnant
women, although populations with significantly higher rates
have been reported. In clinical practice, hyperemesis gravidarum
is identified by otherwise unexplained intractable vomiting and
dehydration. This article discusses the causes, presentation,
diagnosis, and management of hyperemesis gravidarum.
Perinatal Depression 419
Emily C. Dossett
Despite the fact that childbirth is often a time of joy for a family, the
occurrence of perinatal depression is very common. It is essential
for the depressed patient to be identified and treated during the
pregnancy or postpartum because the failure to treat can have
significant morbidity and even mortality for the woman and the
child. Despite various concerns several antidepressant medications
are generally safe and, after a careful risk/benefit analysis and
informed consent, indicated for the severely depressed pregnant or
lactating patient.
yjij CONTENTS
Prenatal Diagnosis and Genetic Screening—Integration
into Prenatal Care 435
Valerie J. Rappaport
In the last 3 decades, perinatal medicine has made tremendous
advances in scientific knowledge and in the successful application
of this knowledge toward understanding the fetal aspects of
pregnancy. Evaluation of the health of the fetus and screening for
birth defects has become an important part of prenatal care. This
article provides an overview of birth defects and the various
screening methods for diagnosing birth defects before birth. It also
discusses the role of preconception genetic screening.
Recurrent Risk of Adverse Pregnancy Outcome 459
Lisa E. Moore
It is an unfortunate fact that all pregnancies do not end with
healthy babies and healthy mothers. Families who have experi¬
enced an adverse pregnancy outcome require accurate information
about the risk of recurrence to plan future childbearing. This article
examines the recurrence risk of four complications of pregnancy:
gestational diabetes, preterm delivery, stillbirth, and preeclampsia.
Combined, these four complications are responsible for approx¬
imately 24% of maternal and neonatal morbidity and mortality.
Prenatal Counseling Regarding Cesarean Delivery 473
Lawrence M. Leeman
In 1970, the cesarean delivery rate in the United States was 5.5% and
women receiving prenatal care only required the knowledge that
cesarean delivery was an uncommon solution to dire obstetric
emergencies. In 2008, when almost one in three women deliver by
cesarean, counseling on cesarean delivery must be part of each
woman's prenatal care. The content of that discussion varies based on
the woman's obstetric history and the anticipated mode of delivery.
Childbirth Education and Birth Plans 497
Joanne Motino Bailey, Patricia Crane, and Clark E. Nugent
Childbirth education is considered a key component to prenatal
care, although many women do not receive any formalized
preparation. There are multiple models of childbirth education
for both within health care settings, including Centering Preg¬
nancy, and external programs, such as Lamaze and Bradley. As a
component of childbirth preparation, a birth plan can be a medium
to improve patient-provider communication regarding a desired
labor and birth experience and improve satisfaction with care.
Index 511
CONTENTS « |
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| isbn | 1416063269 9781416063261 |
| language | English |
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| series | Obstetrics and gynecology clinics of North America |
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| spelling | Office obstetrics guest ed. Sharon T. Phelan Philadelphia [u.a.] Saunders 2008 XIV S., S. 339 - 517 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Obstetrics and gynecology clinics of North America 35,3 Cesarean Section Depression in pregnancy Genetic Screening Hyperemesis Gravidarum Obstetrics Obstetrics methods Parturition methods Pregnancy Complications Prenatal Care Prenatal Diagnosis Prenatal Nutrition Physiology Phelan, Sharon T. edt Obstetrics and gynecology clinics of North America 35,3 (DE-604)BV000617486 35,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016792122&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Office obstetrics Obstetrics and gynecology clinics of North America Cesarean Section Depression in pregnancy Genetic Screening Hyperemesis Gravidarum Obstetrics Obstetrics methods Parturition methods Pregnancy Complications Prenatal Care Prenatal Diagnosis Prenatal Nutrition Physiology |
| title | Office obstetrics |
| title_auth | Office obstetrics |
| title_exact_search | Office obstetrics |
| title_exact_search_txtP | Office obstetrics |
| title_full | Office obstetrics guest ed. Sharon T. Phelan |
| title_fullStr | Office obstetrics guest ed. Sharon T. Phelan |
| title_full_unstemmed | Office obstetrics guest ed. Sharon T. Phelan |
| title_short | Office obstetrics |
| title_sort | office obstetrics |
| topic | Cesarean Section Depression in pregnancy Genetic Screening Hyperemesis Gravidarum Obstetrics Obstetrics methods Parturition methods Pregnancy Complications Prenatal Care Prenatal Diagnosis Prenatal Nutrition Physiology |
| topic_facet | Cesarean Section Depression in pregnancy Genetic Screening Hyperemesis Gravidarum Obstetrics Obstetrics methods Parturition methods Pregnancy Complications Prenatal Care Prenatal Diagnosis Prenatal Nutrition Physiology |
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